1981, 02-10 Permit 81A-1334 Siding, Soffit, ShuttersPLAN NUMBLH
A1'1'LIVA 1 man/ r=rimu 1
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
1.
2.
3.
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB A' D p RESS
0//601 OJ1a) (�tacre3
LOT BLOCKSUBDIVIS PAItCELNUIrJIBER/S
O W_I)I� R
..JWtrn.e3 C. kIo1eri
AD RES
' �'an iioo 1fl a
CONTRACTOR
1Y) 0,1 Ui &i 4her3
4. AD„
A', ES s
,' ,ES66 L4' I ni. a d
DESIGNER
5.
ADDRESS
PHONE
-/434
ZI
9oJ
PHONE
ZIP
Dt51D31
Actual Set Backs J�Jnri F eat
Lt11LIU
North 'South
East
Size of Parcel
Type }Const.
Sl Ili
Valu 'or]
qn
Crl Do
Occupancy
Main Floor ( Upper Floors
LEGAL DESCRIPTION - SEE ATTACHED
'West
Zone Classification
D 1 f( L TIper\1 t L:
Sprinklered
Yes ❑No ❑ Req'd.
Building Area in Sq. FL
tliti 1.4
Garage Area 1 Storage
CHANGE OF USE FROM
6.
TYPE
7, OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
TO
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
kOyTHHER
Area of Decks
Finished Basement
Unfin. Basement
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Req'd.
Not Req'd.
DESCRIBE WORK
$ • VALUATION
SOURCE
OF
UTILITIES
GA /
Enum. Dist.
ILocation (Area)
CTRIC
WATER
SEWER
Ownership
Public 0 Private
USE CODE
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or he
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION 215`fs
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
FEES COLLECTED
Single $%^'ICL1
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$66,00
02* *50.0.0
* 50,00 N
* 50.006
A *0.00
133,3E
02-10-81
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Building Technicillp
D _ o-f. , ./._,77),
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF SUANCE
02-10-81
DATE ISSUED
O
z
PERMIT NO. t
133.4
Q0.0 °a1-2
TOTAL J